Title Page
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Conducted on
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Prepared by
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Contractor
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Crew members
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Select date
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Add location
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Is traffic control setup and appear to be correct?
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Is all crew members wearing proper PPE?
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Are all open excavations secure with fencing or cones etc?
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Are ladders being used for excavations?
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Are spoil piles at least 2’ away from excavations?
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Do all utilities appear to be located?
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Are all utilities pot holed? Crossings and running parallel within 3’ of bore path.
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Are permit dates good and does the work remaining reflect the end date?
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Are prints and locate ticket on job site?
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Is all the work being performed within the ROW?
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Does all conduit appear to be at depth?
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Are HHs being set properly? Inside and out. At grade and tamped in around the box.
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Is over all housekeeping acceptable?
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Is fiber being protected? (fenced or cones)
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Fiber being coiled correctly in HHs?